中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2015年
6期
513-516
,共4页
卢昕%胡彦锋%余江%邓镇威%李国新
盧昕%鬍彥鋒%餘江%鄧鎮威%李國新
로흔%호언봉%여강%산진위%리국신
胃肿瘤%全胃切除术%食管空肠吻合%腔内吻合%腹腔镜检查
胃腫瘤%全胃切除術%食管空腸吻閤%腔內吻閤%腹腔鏡檢查
위종류%전위절제술%식관공장문합%강내문합%복강경검사
Gastric neoplasms%Total gastrectomy%Esophagojejunostomy%Intracorporeal anastomosis%Laparoscopy
近年来,腹腔镜根治性全胃切除术治疗中上部胃癌逐步在有条件的单位开展,但食管空肠吻合仍是该手术方式所面临的关键难题.区别于传统小切口辅助腔外重建,部分学者开始尝试完全腹腔镜食管空肠吻合以取得更优的操作稳定性及更佳的微创效果,最终期待通过这样的技术降低消化道重建难度.
近年來,腹腔鏡根治性全胃切除術治療中上部胃癌逐步在有條件的單位開展,但食管空腸吻閤仍是該手術方式所麵臨的關鍵難題.區彆于傳統小切口輔助腔外重建,部分學者開始嘗試完全腹腔鏡食管空腸吻閤以取得更優的操作穩定性及更佳的微創效果,最終期待通過這樣的技術降低消化道重建難度.
근년래,복강경근치성전위절제술치료중상부위암축보재유조건적단위개전,단식관공장문합잉시해수술방식소면림적관건난제.구별우전통소절구보조강외중건,부분학자개시상시완전복강경식관공장문합이취득경우적조작은정성급경가적미창효과,최종기대통과저양적기술강저소화도중건난도.
In recent years,laparoscopic total gastrectomy (LTG) with lymphadenectomy is increasingly utilized for the management of gastric cancer located in the middle or upper third of the stomach.However,esophagojejunostomy is the key technical difficulty in operation.Compared with conventional extracorporeal esophagojejunostomy via mini-laparotomy,pioneers are attempting to perform intracorporeal anastomosis in order to gain better manipulation and minimally invasive benefits,as well as reducing the difficulties in digestive tract reconstruction.